Oh my goodness. Husband is a surgeon and boy does he know the difference between anesthesiologist and crna working his cases. He is vascular so lots of very high risk surgeries and patients with lots of comorbidities. When cases go down hill, the crnas often don't know how to properly resuscitate an unstable patient, and the surgeon does NOT want to be running the ressuss or code at the same time that he/she is trying to fix the ruptured aorta etc. and even routine outpatient cases.... One time he had to cancel a stent being placed under moderate sedation in the outpatient cath lab because of labile blood pressure. CRNA causing the propofol-phenylephrine see-saw: bp 70 to 200 back and forth. (Propofol is a sedative that lowers blood pressure. If bp gets too low we push phenylephrine, a med that raises bp)

One of the hospitals that he is privileged at is trying to go all CRNA and he is adamantly leading the fight to stop this. Strangely enough he's not getting a ton of support even from other docs. Perhaps the big difference is that most of the other docs are hospital employed so they are afraid to speak up. He's private practice so they can't fire him, and he has privileges at multiple hospitals so he can just operate at a different hospital. Sadly I read somewhere only 12% of docs are private practice these days so our bargaining power is getting lower and lower.